Infectious Enteritides to be Differentiated from Inflammatory Bowel Disease(IBD) Reiko Kunisaki 1 , Hideaki Kimura 1 , Akinori Nozawa 2 , Akira Sugita 3 , Katsuaki Tanaka 1 1IBD Center, Yokohama City University Medical Center, Yokohama, Japan 2Department of Pathology, Yokohama City University Medical Center, Yokohama, Japan 3Division of Surgery, Yokohama City Citizen's Hospital, Yokohama, Japan Keyword: 炎症性腸疾患 , 潰瘍性大腸炎 , Crohn病 , 感染性腸炎 , 鑑別診断 pp.1581-1589
Published Date 2008/10/25
DOI https://doi.org/10.11477/mf.1403101486
  • Abstract
  • Look Inside
  • Reference
  • Cited by

 Infectious enteritides that need to be differentiated from inflammatory bowel disease(IBD)are divided into two types : Enteric infections that may affect the distal colon and rectum(amebic colitis, bacterial enteritis,)requiring differential diagnosis from ulcerative colitis(UC). And enteric infections that may affect the ileo-cecal segments(intestinal tuberculosis and Yersinia enterocolitis)necessitating differentiation from Crohn's disease(CD). The essential points for differential diagnosis between IBD and enteric infections are disease-characteristic endoscopic findings. Histological examination of infectious enteritis often demonstrates granulomas or neutrophilic microabscesses in the crypts, but combinations of several examinations such as histological examination of biopsy from an appropriate site, culture of the biopsy specimen and culture of stool liquid gathered during endoscopies, may elevate precision of the diagnosis. When we examine patients with clinically intractable colitis, it is important to re-evaluate the clinical course in order to distinguish infectious enteritis from IBD.

Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院